A nurse is caring for a patient receiving morphine sulfate via patient-controlled analgesia (PCA) pump for pos…

Question

A nurse is caring for a patient receiving morphine sulfate via patient-controlled analgesia (PCA) pump for postoperative pain management. Which nursing intervention is the priority to ensure patient safety?

Accepted Answer

보기 3: Monitor respiratory rate, depth, and oxygen saturation every 2 hours and before each dose administration

Respiratory depression is the most serious adverse effect of opioids like morphine. Priority nursing intervention is monitoring respiratory rate, depth, and oxygen saturation every 2 hours and before each dose to detect early signs. Other options are unsafe or inadequate for safety monitoring.

Answer

보기 1: Encourage the patient to use the PCA pump every 15 minutes to maintain adequate pain control

Answer

보기 2: Assess the patient's pain level using a numeric rating scale every 2 hours during the day shift only

Answer

보기 4: Instruct family members to press the PCA button when the patient appears uncomfortable or is sleeping

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A nurse is caring for a patient receiving morphine sulfate via patient-controlled analgesia (PCA) pump for postoperative pain management. Which nursing intervention is the priority to ensure patient safety?

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